Individual
ABIGAIL LYNN KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-4000
Mailing address
186 LINDEN ST, ROCHESTER, NY 14620
(585) 739-7097
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23 015841
NY
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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